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    The effect of immunosuppression therapy on activities of daily living and comfort level after liver transplantation
    (Elsevier, 2021) Bulbuloglu, Semra
    Objectives This study was carried out to investigate the effect of immunosuppression therapy on activities of daily living and comfort level after liver transplantation. Materials and methods This study was conducted in a descriptive and correlational type with the participation of 148 liver transplant patients hospitalized in the liver transplant center of a university hospital. Personal Information Form, Katz Activities of Daily Living Scale and General Comfort Questionnaire were used in data collection. The data analysis was performed with IBM SPSS (Statistical Package for the Social Sciences) Statistics 25. Results According to the results obtained from the study, it was determined that 31.1% of the patients were 58 years old and over, 20.9% of them were between 48? and 57 years old, and 81.8% of them were male. It was found that 61.5% of the patients were between the 11th and 21st days after transplantation and 26.4% of them were given oxygen with a non-invasive catheter. It was determined that the patients were semi-independent in activities of daily living and had a moderate comfort level. Conclusions It is not always possible for liver transplant patients to effectively deal with their condition. The low comfort level and quality of life of patients who have undergone liver transplantation should be noticed, and social, economic and psychological support should be provided.
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    The effect of nursing care satisfaction on pain and anxiety levels of patients undergoing orthopedic surgery in the early postoperative period
    (2022) GÜNEŞ, HÜSEYİN; Bulbuloglu, Semra; Kapikiran, Gurkan; Sarıtaş, Serdar
    In our study, we aimed to examine the effect of nursing care satisfaction on the pain and anxiety levels of patients who underwent orthopedic surgery. This descriptive study was conducted with the participation of patients who underwent surgery in the orthopedic clinic of a training and research hospital, and they were in the early postoperative period. Patient information form, Newcastle Satisfaction with Nursing Scale and State-Trait Anxiety Inventory were used in data collection. In this study, we found that 41.2% of the orthopedic patients were between the ages of 36 and 50, and 60.4% of them were women. Both nursing care satisfaction and anxiety levels were found to be higher in women than men (p<0.05). The highest satisfaction rate was found among patients aged 18-35 years old, and the highest anxiety level was found in patients over the age of 66. In our study, we found that higher anxiety levels increased pain intensity, and a high level of nursing care satisfaction could be seen in various pain and anxiety levels. Our study showed that nursing care satisfaction was affected by pain and anxiety in patients who underwent orthopedic surgery. In addition, it showed that pain and anxiety trigger each other. Clinicians should be aware of the negative effects of pain and anxiety on postoperative recovery. Strategies to increase nursing care satisfaction should be developed.
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    The effect of perceived social support on psychological resilience in liver transplant patients receiving immunosuppression therapy
    (Elsevier, 2021) Bulbuloglu, Semra; Demir, Bilsev
    Objective: This study was conducted to investigate the effect of social support on psychological resilience in liver transplant patients receiving immunosuppression therapy. Method: This study was carried out as a descriptive and cross-sectional study with the participation of 290 liver transplant patients hospitalized in the liver transplant center of a research and application hospital. Personal Information Form, Multidimensional Scale of Perceived Social Support (MSPSS) and Brief Resilience Scale (BRS) were used in data collection. The data analysis was performed with IBM Statistical Package for the Social Sciences Statistics 25. Results: According to the data obtained, it was determined that 30.4% of the patients were 58 years old and over, 81% of them were male and 92.8% of them were married. It was found that all of the patients used antimetabolites and corticosteroids, and 82.8% of them used calcineurin inhibitors. It was determined that 32.8% of the patients experienced infection, neuropsychiatric problems and nephrotoxicity at the same time. The psychological resilience of the patients was found to be moderate, and their perceived social support was found to be low. Conclusion: It is not always possible for liver transplant patients to deal with their situation effectively. The psychological resilience and social support levels of patients who have undergone liver transplantation should be noticed, and social, economic and psychological support should be provided.